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1104423441
NICOLE A MOONEY
GRAND RAPIDS, MI
NPI
1104423441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-10-08
Last Update Date
2022-03-14
Business Address
NICOLE A MOONEY
4218 BURTON ST SE
GRAND RAPIDS, MI 49546-6121
Phone number: 616-301-8000
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Mailing Address
NICOLE A MOONEY
4218 BURTON ST SE
GRAND RAPIDS, MI 49546-6121
Phone number: 616-301-8000
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